Shana Gaines

NPI 1407028210 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1407028210
Gender Female
Enumeration Date 04/01/2008
Last Updated 04/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2250 HICKORY RD
PLYMOUTH MEETING PA, 19462-1047, US
Phone (610) 834-1122
Fax
Business Location
10850 SNOWDROP WAY
INDIANAPOLIS IN, 46235-3560, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Indiana
License Number 27058552A
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According to our database, Shana Gaines NPI is 1407028210, taxonomy code is 164W00000X and license number is 27058552A, license state is located at Indiana. Shana Gaines physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number Shana Gaines has the Individual type.

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1407028210 NPI number is provided on an as is basis without warranty of any kind. 1407028210 is maintained by the National Plan & Provider Enumeration System. The contents of Shana Gaines are for informational purposes only.